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However, the consortium rejected the use of atezolizumab (Tecentriq) for advanced bladder cancer in patients unable to receive the present preferred treatment because of "uncertainties in the evidence".
Therefore, although the present preferred hosts invaded the Neotropical region from the Northern Hemisphere after the establishment of the Panama Isthmus, we can surmise that suitable hosts were available earlier.
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Differences between both groups in the present and preferred situation can be classified into three categories: (1) culture gaps in the present situation and not in the preferred, (2) culture gaps in the preferred situation and not in the present, and (3) culture gaps in both situations.
Combining results from the present and preferred culture gaps, we arrived at three categories of increasing complexity.
An extra feature was added to the Kralewski questionnaire by asking about the present and preferred situation.
The Dutch pretesting questionnaire contained 60 statements with a double five-point Likert scale, which assessed the respondents' personal perceptions of practices in the hospital in the present and preferred situation.
The only statement that does not score a statistically significant difference between physicians and managers in both the present and preferred situation is statement 12 (about belonging to the group).
We analyzed differences between physicians and managers, using individual data, pooled over the whole data for the present and the preferred situation and we compared the present and preferred situation.
Managers scored differently in 19 out of the 20 statements between the present and the preferred situation.
The third category shows 12 statements that score culture gaps in the present and the preferred situation; these statements reveal the most imminent aspects of the culture gaps.
As shown in Tables 3, physicians scored differently in 18 out of the 20 statements between the present and the preferred situation.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com